Southern Vision Care PC.

Primary specialty

OptometristTaxonomy code 152W00000X

License

UV004778 Issued in NY

Legal business name

SOUTHERN VISION CARE PC.

Practice address

811 Southern Blvd Lbby
Bronx, NY 10459-5202

Phone

(718) 924-2552

NPI assigned

Feb 2, 2007

Last updated

Feb 11, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward Lacorte, ODNPI 1568759850

Title

Owner

Phone

(718) 924-2552

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Alexander Lacorte, O.D.

  • Optometrist
  • Bronx, NY
  • NPI 1568759850
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1548308430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104595202",
            "telephone_number": "718-993-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SOUTHERN BLVD LBBY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104595202",
            "telephone_number": "718-924-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN VISION CARE PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "LACORTE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-924-2552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "UV004778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01048159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southbronxrxinc
• Southern Boulevard Pharmacy Inc
• Southern Eye Care Inc
• Southern Eyes Inc
• Southern Pharmacy Inc
• Southern Wellcare Medical PC
• Southern Westchester Diabetes, PC
• William N Southern, MD
• Cristina Souza, MS, PT
• Penelope Sovaras, OTR/L

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.